Individual
TRACI MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
200 MONTGOMERY HWY, SUITE 125, BIRMINGHAM, AL 35216
(205) 978-4969
(205) 978-4964
Mailing address
2040 FAIRBANKS CIRCLE, CHELSEA, AL 35043
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH 2973
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-36540
BCBS
AL
Enumeration date
10/11/2006
Last updated
07/08/2007
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